ANNA JANE ECKHOLM Athletic Trainer License verification

Business Entity

NOT RENEWED

License Type

Athletic Trainer

Description

LICENSED ATHLETIC TRAINER

License Number

096005068

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

JANE

Last Name

ECKHOLM

Business Name

ANNA JANE ECKHOLM

Original Issue Date

10/29/2019

Effective Date

04/06/2021

Expiration Date

05/31/2022

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

07/27/2022